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Hayley Goodwin @otthoughtsWelcome everyone to our first #otalk@RCOT_PLD@OT_rach. To kick of...our first question is:
Do you feel confident in discussing medication issues with your MDT colleagues and with clients?

Hayley Goodwin @otthoughtsRT @OTalk_: Think before you post!
- Consider confidentiality when you post.
- Be respectful of others and their opinions.
#OTalk htt…

Dr Jenny Preston MBE @preston_jennyThat’s a really good question #OTalk. I feel more comfortable discussing the more common drugs depending on the condition but not the less commonly used medications. https://t.co/dSVXS8r7ic

OTalk @otalk_Any problems just ask - just remember the hashtag in ALL. Your tweets and don’t worry if you feel like your missing stuff just go with the flow #OTalkhttps://t.co/NgGkD2XNBk

Bill Wong, OTD, OTR/L @billwongot@OTthoughts@RCOT_PLD@OT_rach I think it depends on your setting you work with. A common issue in our setting is when patient has pain pill for the day. Next on the list will be BP medications. #otalk

Bev Taylor-Wade @bevtwGenerally switch off when meds are discussed in MDT in detail #OTalk

Molly Harris @mollharrisot@OTthoughts@RCOT_PLD@OT_rach I feel more confident discussing issues regarding challenges clients may have when taking their medication and how they can be supported but sometimes do not understand why a client is taking a particular medication #otalk

Phil King @philking53@OTthoughts@RCOT_PLD@OT_rach I don't feel that I have a great understanding of medication as yet but I feel I can (and often do) as question re; medication at MDT meetings mainly to spark discussion about medication #OTalk

grainne carley @gra_carleyI have learnt to pay attention to meds & especially note if there is changing happening or talk of change as it indicates a lot in terms of colleagues thinking on mental health progress/not #otalk

Chloe Vincett @chloevincettOn MH placement at the moment and I feel I've probably learnt more about meds and what they're for from the way clients have discussed them and the positive/negative impact that comes with them #OTalk

Holleigh Bryan @holleighlouise@OTthoughts@BillWongOT@RCOT_PLD@OT_rach Learning about side effects is really important because it can affect our clinical reasoning. Also useful to know how long side effects are likely to last and what are seen as acceptable side effects and what indicates a need for medication change, antidepressants espec. #OTALK

Maureen Shiells @mmshiellsSo...We need to have knowledge/experience/insight into how this can impact on our intervention? #otalk sharing practice can only benefit our service users https://t.co/JmwujCv3eq

Bethany Marshall @bethjmot@OTthoughts@RCOT_PLD@OT_rach As a student I don't feel that confident about medication, however on my first placement i was interested and would ask my educator or other members of the MDT about types of medication, especially if they impacted on the client being able to take part in assessments #OTalk

RCOT_PLD @rcot_pld@OTthoughts@OT_rach#Otalk Good to hear many of you feel confident questioning and researching. what would help understanding of medication and side effects so feel confident discussing medication issues ?

Christie Robinson @christiephysio@OTthoughts@RCOT_PLD@OT_rach#OTalk Keeping up to date with meds can be tough when not dealing with it on a regular basis. Play to strengths of team and ask colleagues that is the joy if a team approach! You can return the favour and share your specialist knowledge when they are unsure too

grainne carley @gra_carley@ChloeVincett This is really interesting Chloe - I think we could do all the reading on side effects and impact, but actually seeing and noting it in someone we're working with is much more effective learning #OTalk

Holleigh Bryan @holleighlouise@BillWongOT@OTthoughts@RCOT_PLD@OT_rach So do you think introducing something like posters about drug of the week would work? People may be reluctant to read them, however, if people are interested they could attend? Or an email once a week about information about a medication? #OTALK

Stephanie Lancaster @theoutloudotExcellent topic! There are open-access (free) courses on sites like Coursera on topics related to this such as neuropharmacology that are great! I feel comfortable talking many (but not all) meds. #OTalk

Anne Webster @awebster67RT @preston_jenny: Really helpful to work with pharmacists for mutual understanding of impact of medication on everyday life #OTalk https:/…

Hayley Goodwin @otthoughtsGreat conversations - question two is also related to medication management:
2. Can occupational therapists support clients to reduce the amount of medication people with LD / autism take / do we have a role in medication reduction?
#otalk

Hayley Goodwin @otthoughtsRT @preston_jenny: Really helpful to work with pharmacists for mutual understanding of impact of medication on everyday life #OTalk https:/…

Stephanie Lancaster @theoutloudot#OTalk TBH some of what I know about medications and how they affect occupational performance has come from serving as a caregiver in personal situations rather than in a professional context.

Bill Wong, OTD, OTR/L @billwongot@OTthoughts This one I will answer from patient perspective. I would say it was important for me to update my OT about my response to these medications whenever I felt it was important to talk about it. #otalk

Bethany Marshall @bethjmotWatching Secret life of 5 year olds and getting involved in #OTalk! Interesting discussions as always, I feel that i need to start looking into medication more in my future placements and practice.

Holleigh Bryan @holleighlouise@OTthoughts Yes! By working on strategies to manage anxiety or ways to reduce challenging behaviour through sensory/communication strategies etc. we can reduce the need of anxiety meds and lorazapam #OTALK

Kwaku Agyemang @kwakuot@OTthoughts@RCOT_PLD@OT_rach#OTalk Probably The Same As Others Have Said, I Don’t Really Feel Confident About Asking About/ Discussing Medication. Deep Down I Probably Feel It Is Not My Place To Ask/Discuss This...😕

Holleigh Bryan @holleighlouise@OTthoughts Building client resillience and working on coping skills, strategies and WRAP plans we can reduce the need for antidepressants '#OTALK

Bill Wong, OTD, OTR/L @billwongot@OTthoughts When I had my medications in the beginning, we talked about strategies on when to take medications vs. side effects. When I used to take meds, side effect is that I get tired after 8 hours or so. #otalk

Holleigh Bryan @holleighlouiseRT @TheOutLoudOT: Excellent topic! There are open-access (free) courses on sites like Coursera on topics related to this such as neurophar…

Laura OT @bsidebaby_@OTthoughts#otalk I absolutely think we can be involved in this, when looking at a persons day and how the effects of medication limit or restrict what they can actively engage in. We can look at what is the important activity for the person and look at when meds are taken

Debra Hughes @debraj_ot@OTthoughts Not only as a student but havibg a personal interest, i am keen to here qualified OTs outlook on this question x If i had to answer is believe we as OT's could have a role in reduction management #OTalk

Bill Wong, OTD, OTR/L @billwongot@OTthoughts Now I didn’t need meds because I found a setting that suits my strengths better. After getting used to the setting, I don’t have as much anxiety as my other job. #otalk

Stella Plisner @stellawellawoo@OTthoughts Yes definitely- especially if there is evidence that meds are impacting on safe and independent function and engagement #OTalk

Kwaku Agyemang @kwakuotI Think So Occupational Therapists Can Have A Role In This. If Medication Is Being Prescribed For Behaviour Management, Then Occupational Therapists Can Perhaps Explore Alternative Ways Behaviours Can Be Managed During Function. #OTalkhttps://t.co/aoABPiFATn

Holleigh Bryan @holleighlouise@Bsidebaby_@OTthoughts Also some medications have some pretty nasty/dangerous side effects that we may need to be aware of - such as increased suicidal feelings in some antidepressants #OTALK

RCOT_PLD @rcot_pld@OTthoughts#otalk interesting comments, seeing our role in reducing mediation but not always confident re knowledge of the actual medication

Philip Mason @pjmasonot@OTthoughts In many instances medication is given to ‘manage symptoms’ rather than cure. If occupational therapy provides evidence based interventions that also manage symptoms, then legitimately yes #OTalk

Bethany Marshall @bethjmot@OTthoughts I feel that we can get involved with this, including communicating with other MDT professionals. We need to look at the medication which the client is taking, assess their engagement with their occupations & make sure there are no risks #OTalk

Holleigh Bryan @holleighlouise@KwakuOT Also, helping clients to reduce the need for medications - will not only reduce any unwanted side effects but also save them some money to spend on the occupations which are meaningful to them - which is important in OT #OTALK#EverythingIsOccupation

Stella Plisner @stellawellawoo@OTthoughts I saw recently that loneliness can contribute to expressive behavior- I didn’t know there was a medication licensed for that! #OTalk

OTalk @otalk_30 minute left folks... be sure to remember the #OTalk in all your tweets!!

Hayley Goodwin @otthoughtsRT @pjmasonOT: @OTthoughts In many instances medication is given to ‘manage symptoms’ rather than cure. If occupational therapy provides ev…

Phil King @philking53@OTthoughts As part of the team I believe I defiantly have a role in medication reduction (if medication reduction is possible). Occupational promotion, a drive towards doing and experiencing and input into strategies such as PBS plans can all help! #OTalk

#HelloMyNameIs Laura @laurareidot@OTthoughts Yes definitely e.g rather than using medications to increase sleep, can we provide practical support to improve nighttime routine/sleep hygiene or provide sensory strategies where appropriate instead of relying on medication #OTalk

OTalk @otalk_Just a heads up:
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Holleigh Bryan @holleighlouise@laurareidOT@OTthoughts Also medications for sleep are known to actually reduce sleep quality but increase sleep length - so OT is a massive role here! Medication is actually contributing to sleep issues #OTALK

Rachael S-P @raiot1114@OTalk_ Not having to abbreviate all of my messages… #otalk I like the challenge of keeping the message/thought concise

Phil King @philking53@OTthoughts I find I'm having almost daily battles with myself as I am inherently anti-medication but I work around many colleagues where medication is a default mindset and often argue the positives of medication! #OTalk

Holleigh Bryan @holleighlouise@Rachael61611010@OTthoughts Also its probably worth mentioning that even when on medications - this may reduce the health problem/challenging behaviour etc. but not stop it! Because its not always hitting the root of the problem, by getting to the root and dealing with the problem - we can help this #OTALK

Kwaku Agyemang @kwakuotWell...We Have To Also Ask The Question...”What Is Challenging Behaviour?” All Behaviours Have Function And Reasoning Behind It. If Occupational Therapists Can Understand The Functional Purpose Of The Behaviour Then Strategies Can Be Put In Place. #OTalkhttps://t.co/CYOXFLlTtw

Stephanie Lancaster @theoutloudot@Rachael61611010@BillWongOT@OTthoughts Rather than aiming to reduce meds which shines a very negative light on pharmacological management of disease, it's within the scope of practice for OT practitioners to observe and communicate objective information that may help the team to find a good therapeutic dosage. #Otalk

Philip Mason @pjmasonot@OTthoughts I think also in the name of balance it’s important to acknowledge that medication is important and not everyone experiences every side effect. I have faced my own anti meds demons and learned that healing/recovery requires many ‘pieces of the jigsaw’ #OTalk

Phil King @philking53@BillWongOT@OTthoughts I think that is it, medication for me is all about the right medication at the right time but I'm experiencing that more often than not people are 'left' on medication for too long without review or PRN is overused! #OTalk

Bethany Marshall @bethjmotI have limited knowledge within the area of medication and challenging behaviour. But from previous work experience setting, we found this too! Using narrative reasoning to explore the clients interests and their story #OTalkhttps://t.co/cj7w4F3pSf

Stephanie Lancaster @theoutloudot@BillWongOT@OTthoughts@KwakuOT Does anyone on your team do a behavioral assessment and/or functional intervention plan with regards to behaviors that contribute to challenges in occupational performance? I have participated in that in SNF facilities as well as schools and hospitals. #Otalk

Molly Harris @mollharrisot@OTthoughts@KwakuOT I’m currently on placement working with clients with learning disabilities and today I attended PROACT-SCIP training to learn more about possible underlying reasons for behaviours and proactive methods of managing challenging behaviour #otalk

Rachael Daniels @rachael61611010@philking53@OTthoughts#OTalk medication has it's place at times when therapeutic doses are required to support recovery or support therapeutic intervention, but I feel that is when everything else has been tried

Yasmine @yasmine_ot@OTthoughts Not worked with LD but I can imagine OT’s could support and advocate medication reduction from clients perspective. Could also educate/teach behaviour management techniques for staff and clients to promote optimum functioning #OTalk

Kwaku Agyemang @kwakuotIt Is Fascinating How At Times Occupational Therapists/ HCAs/Activity Coordinators Get Forgotten About When PBS Plans Are Being Formulated...#OTalkhttps://t.co/pvcSQkkZpG

Moira Scanlon @moira_scanlon@OTthoughts@KwakuOT Absolutely core role when the behaviour is an expression of lack of routine, roles, meaningful activity, limited choices and general poor opportunity for self determination. MOHO useful #otalk

Hayley Goodwin @otthoughtsFinal questions - Can occupational therapists have an impact on the STOMP campaign? what more information do we need? how do we support the campaign? #OTalkhttps://t.co/O2QtCyA3ud

Bill Wong, OTD, OTR/L @billwongot@TheOutLoudOT@OTthoughts@KwakuOT I think it will be easier with a team of consistent staff than inconsistent staff. Considering I go around A LOT in the SNF setting, it will be hard for me to start one if I were to do one... as who knows if there is follow through. #otalk

Stephanie Lancaster @theoutloudot@BillWongOT@OTthoughts@KwakuOT Might be something to try to start a conversation about or to strive for long-term in that type of role, though. I would definitely include a write-up about behaviors I observe during eval and treatment sessions and encourage others working with the patient to do the same. #Otalk

Christie Robinson @christiephysio@OTthoughts@KwakuOT As a Physio 'lurking' on #OTalk I would say absolutely - I also think other health care professionals need to play their role too. Challenging behaviour is multi-faceted and needs an MDT approach

Bill Wong, OTD, OTR/L @billwongotRT @KwakuOT: It Is Fascinating How At Times Occupational Therapists/ HCAs/Activity Coordinators Get Forgotten About When PBS Plans Are Bein…

Bill Wong, OTD, OTR/L @billwongotRT @yasmine_OT: @OTthoughts Not worked with LD but I can imagine OT’s could support and advocate medication reduction from clients perspect…

Bev Taylor-Wade @bevtwOT's need to be much more vocal in reclaiming many of the principles of PBS as we are experts in this field #OTalk

Chloe Vincett @chloevincett@OTthoughts@KwakuOT Absolutely! challenging behaviour is often functional if not desirable. OTs could be great at exploring what is trying to be achieved through the CB + look for more appropriate ways of achieving it. A lecturer said CB 'exotic communication' + it's our role to translate it #OTalk

latísh @ljx_01@OTthoughts@RCOT_PLD@OT_rach I don’t have the first clue about medication but listening to SU’s explanation is reassuring and also puts emphasis on the importance of their understanding of the medication that they are taking #OTalk

Bill Wong, OTD, OTR/L @billwongot@yasmine_OT@OTthoughts In kids, I know OT’s are supposed to know about the ABC model of behavior- antecedent, behavior, and consequences. Changing the antecedent and/or consequences might change behavior according to that model. #otalk

Stephanie Lancaster @theoutloudotYes - and I would say it's our ethical responsibility to do so. The best way we can play a role is through our skilled observations and communication skills, I think, and that's part of why documentation and communication are SO important. #OTalkhttps://t.co/M2PRNDkjmd

Bill Wong, OTD, OTR/L @billwongot@TheOutLoudOT@OTthoughts@KwakuOT I think it’s easier to do when you are full time and almost always at one building. Me- sometimes I don’t even know where I am going tomorrow a lot. And staffing changes at sister buildings can play a big role. #otalk

Rose Huxley @rosehuxotEnjoying this evenings #OTalk - i don’t know much on this subject so lurking in the background & reading everyones thoughts has been really interesting! #otstudent

Becci Williams @williamsbecci@OTthoughts We can have an integral role in MDT discussion supporting psychiatrists decisions, helping create PBS plans and highlighting possible over medication when we notice it. #Otalk

Bill Wong, OTD, OTR/L @billwongotRT @TheOutLoudOT: Yes - and I would say it's our ethical responsibility to do so. The best way we can play a role is through our skilled ob…

Jo OT @ldotjo@OTthoughts#OTalk knowing about STOMP is the first step! Then taking time to think about it related to our practice and services

Stephanie Lancaster @theoutloudot@BillWongOT@OTthoughts@KwakuOT Again, I think baby steps and doing what one can within reason is the most logical way to approach this as it is within our scope of practice and definitely impacts our clients' occupational performance and functional outcomes. #OTalk

Ana Pires @anapire77988177@OTthoughts@KwakuOT I have been working with Applied Analysis Behaviour professionals and I found it super important in my daily practice to know more about how to deal with Challenging behaviours. I think we all benefit from know more and it should be a MDT work not only OT'S #OTalk

Bill Wong, OTD, OTR/L @billwongot@ljx_01@OTthoughts@RCOT_PLD@OT_rach Yes- when I had to take mine. I consulted my psychologist for sure about the idea before she decided what might be right for me at the time. We tried 2, but it was because my needs both of these times were different. #otalk

Philip Mason @pjmasonot@OTthoughts@KwakuOT I think understanding any behaviour through an Occupational Therapy lens is key to our role. How we interpret and understand these behaviour adds to the richness of the MDT approach and hopefully adds to the quality of assesssment and treatment #OTalk

Emma Cavanagh @emmaotstudentRT @OTthoughts: Final questions - Can occupational therapists have an impact on the STOMP campaign? what more information do we need? how d…

Bethany Marshall @bethjmotPersonally I'd have to look more into the STOMP campaign. Find out more, ask questions to other professionals. Don't be afraid if you don't know everything. Being honest is key in practice, and learning takes place everyday #OTalkhttps://t.co/wHBmwJp16K

Ana Pires @anapire77988177@OTthoughts@KwakuOT It is also crucial for us to be able to answer the question is it sensory or is it behaviour? Meaningful occupations and improved communication are in my point of view the key for sucess decreasing challenge behaviours. #OTalk

RCOT_PLD @rcot_pld@OTthoughts#otalk we can see when medication impacts on function and need to question, support and challenge for our clients

Kwaku Agyemang @kwakuot@OTthoughts I Think Occupational Therapists Need To Have Better Understanding Of Some Of The Common Medication Prescribed To This Client Group And Be Confident & Show Assertiveness When Speaking About What Impact Their Role Can Have On Reducing These Medications. #OTalk

Bill Wong, OTD, OTR/L @billwongot@WilliamsBecci@OTthoughts In my setting, that is so important to coordinate with nursing about meds. If they are over medicated, we definitely have to communicate on what is best for the patients. #otalk

Hayley Goodwin @otthoughtsRT @KwakuOT: @OTthoughts I Think Occupational Therapists Need To Have Better Understanding Of Some Of The Common Medication Prescribed To T…

Rachael Daniels @rachael61611010@OTthoughts Yes totally it sits so perfectly with our core role, working proactively with our MDT, we have a clinic purely for meds reduction so we have the PBSP in place and reviewed prior to reduction, IT has a key role #OTalk

Hayley Goodwin @otthoughtsRT @BethjmOT: Personally I'd have to look more into the STOMP campaign. Find out more, ask questions to other professionals. Don't be afrai…

Bill Wong, OTD, OTR/L @billwongotRT @KwakuOT: @OTthoughts I Think Occupational Therapists Need To Have Better Understanding Of Some Of The Common Medication Prescribed To T…

Rhidian Hughes @rhidianhughes(Just joined #Otalk- sorry.) OTs and and AHPs uniquely placed across health and social care, and can work with support workers to make #STOMP change happen. OTs have an empowerment and leadership role. https://t.co/HJXurxPU9c

Chloe Vincett @chloevincett@philking53@OTthoughts@KwakuOT Yes those are scary expectations. But also exciting that people see you + OT as a fountain of knowledge. I think with CB, trial and error can defo be expected! I'm trying to convince my current Placement's staff that OTs are not stationary providers or Burkina redcoats! #OTalk

Emma Robinson @emmaot2b@OTthoughts I think supporting STOMP is doable, moreso for an OT as a confident respected member of the MDT, also important as we’re advocating for the wellbeing & participation of our clients which over medication can have an adverse effect on #Otalk

Philip Mason @pjmasonot@OTthoughts Assessment of the impact of medication side effects on occupational performance is an effective negotiating tool when advocating on behalf of the people you are working with. #OTalk

Hayley Goodwin @otthoughtsRT @EmmaOT2B: @OTthoughts I think supporting STOMP is doable, moreso for an OT as a confident respected member of the MDT, also important a…

OTalk @otalk_it’s the last 5 mins of tonight’s #OTalk. Any take home thoughts? or final questions.

Chloe Vincett @chloevincett@LDOTJo@philking53@OTthoughts@KwakuOT I was discussing with an past service user last week, the importance of how incidents or behaviours are recorded in a clients notes, as these things follow people forever and often raise staffs defences just though reading a clients notes #OTalk

Hayley Goodwin @otthoughtsRT @yasmine_OT: @OTthoughts Spreading the word to all about the STOMP campaign through discussions, social media etc. Without this topic to…

Bill Wong, OTD, OTR/L @billwongot@pjmasonOT@OTthoughts I think it will be good if you have privilege to track patient progress week to week in person. But if you just make cameo appearances to provide treatment, that will be a lot more difficult. #otalk

Phil King @philking53@OTalk_ I will continue to question the use of medication in a person's life, just like I expect people to question me on my decision making process, but, I also need to ease up on my dislike of medication and understand the benefits they may bring! #OTalk

Bill Wong, OTD, OTR/L @billwongot@OTalk_ And lastly- whether it’s for pain, anxiety, stress, or behavior management, we should give as much autonomy to patients as possible with medications. But if they are not able to for whatever reason, we must use our best clinical judgment. #otalk

Hayley Goodwin @otthoughtsA huge thank you to everyone that participated tonight #otalk. I hope it has been helpful. I have enjoyed the discussions and it has made me really think about my role in MDT when discussing medication issues. THANK YOU @AWebster67@OT_rach@RCOT_PLD

Bill Wong, OTD, OTR/L @billwongot@pjmasonOT@OTthoughts The only catch of this is- you can’t be with the patient for just a day during the POC and then you have to work elsewhere because of work related needs. #otalk

Theresa Baxter @ottabaxRT @OTalk_: That's officially the end of #OTalk tonight, but keep chatting! I’ll post the transcript after 24hrs. Thank you to @RCOT_PLD h…

Hayley Goodwin @otthoughts@BevTW Transcript will be available in 24 hours. I'll put a reflection together and something for our newsletter to help member take it forward. I'll email before the next NEC meeting. It was a great discussion #Otalk

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